﻿<%@ Page Title="" Language="C#" MasterPageFile="~/common/AfterLogin.master" AutoEventWireup="true" CodeFile="insurance_accident_claim.aspx.cs" Inherits="product_insurance_user_insurance_accident_claim" %>


<asp:Content ID="Content3" ContentPlaceHolderID="leftMenu" Runat="Server">
  <ul>
        
                     <li>
                   <a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_statement.aspx")%>">Plan Statement</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_certificate.aspx")%>">Plan Certificate</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_terminate.aspx")%>">Terminate A Plan</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_claim.aspx")%>">Claim Instructions</a></li>
                    <li><a href="<%= Page.ResolveUrl("~/product/insurance/insurance_home.aspx")%>">Plan Details</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_apply_hospital.aspx")%>">Apply For Hospitalisation Plan</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_apply_accident.aspx")%>">Apply For Personal Accident Plan</a></li>
    </ul>

</asp:Content>
<asp:Content ID="Content4" ContentPlaceHolderID="content" Runat="Server">
    <p>
        <br />
        <h1>
            Death</h1>
        <br />
        <br />
        1. Duly Completed Personal Accident Claim Form<br />
        <br />
        <asp:FileUpload ID="fu_ad1" runat="server" /><br />
        <br />
        2.The Death Certificate<br />
        <br />
        <asp:FileUpload ID="fu_ad2" runat="server" /><br />
        <br />
        3. Autopsy Report, Coroner’s Report, etc.<br />
        <br />
        <asp:FileUpload ID="fu_ad3" runat="server" /><br />
        <br />
        4. Letter of Administration
        <br />
        <br />
        <asp:FileUpload ID="fu_ad4" runat="server" />&nbsp;<br />
        <br />
        <asp:Button ID="btn_claim_death" runat="server" Text="Submit" OnClick="btn_claim_death_Click" />
        &nbsp;&nbsp;&nbsp;&nbsp;
    <asp:Button ID="btn_reset1" runat="server" onclick="btn_reset1_Click" 
        style="width: 50px" Text="Reset" />
    <br />
    <br />
    <asp:CustomValidator ID="vd_File1" runat="server" 
        ErrorMessage="Please upload required documents." ForeColor="Red" 
        onservervalidate="vd_File1_ServerValidate"></asp:CustomValidator>
        <br />
        <br />
        <h1>
            Permanent Disablement and Medical Expenses</h1>
        <br />
        <br />
        1. Duly Completed Personal Accident Claim Form<br />
        <br />
        <asp:FileUpload ID="fu_adp1" runat="server" />
        <br />
        <br />
        2. Medical Report from attending doctor<br />
        <br />
        <asp:FileUpload ID="fu_adp2" runat="server" /><br />
        <br />
        3. Original Medical Bills<br />
        <br />
        <asp:FileUpload ID="fu_adp3" runat="server" /><br />
        <br />
        <asp:Button ID="btn_claim_permanentDisablement" runat="server" Text="Submit" OnClick="btn_claim_permanentDisablement_Click" />
        &nbsp;&nbsp;&nbsp;&nbsp;
    <asp:Button ID="btn_reset2" runat="server" Text="Reset" />
    <br />
        <br />
        <asp:CustomValidator ID="vd_File2" runat="server" 
        ErrorMessage="Please upload required documents." 
        onservervalidate="vd_File2_ServerValidate"></asp:CustomValidator>
        <br />
    </p>
</asp:Content>

